Individual provider Active NPI

Kenneth Weinkauf, PT

  • Physical Therapist
  • North Bergen, NJ
National Provider Identifier
1467545327
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00861000 Issued in NJ
Practice address
8901 Kennedy Blvd
North Bergen, NJ 07047-5344
Phone
(201) 854-6700
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00861000 NJ Primary

Addresses

Primary practice location

8901 Kennedy Blvd
North Bergen, NJ 07047-5344

Mailing address

760 Elm Ave
River Edge, NJ 07661-1508
Phone (201) 262-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040610000239 NJ Practitioner - Physical Therapist in Private Practice 5890778997 Reassigns benefits to 2 organizations
I20120530000220 NY Practitioner - Physical Therapist in Private Practice 5890778997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare Physical Therapy of Ny, P.C.Group PAC ID 8123102092, 19 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

2 Crosfield Ave
West Nyack, NY 10994-2226
Phone (845) 358-8989

63 Lacey Rd H
Whiting, NJ 08759-2966
Phone (732) 716-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018242NYMDPsychologist
40QA00861000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Sep 27, 2010 Accepting new patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Dec 16, 2018 Accepting new patients
Alliance Hand and Physical Therapy, P.C. Past Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

11 Eagle Rock Ave
Fl 2
East Hanover, NJ 07936
Phone (973) 887-3000

8901 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 758-1001

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

63 Lacey Rd
Ste H
Whiting, NJ 08759
Phone (732) 716-0111

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1467545327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 ELM AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611508",
            "telephone_number": "201-262-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475344",
            "telephone_number": "201-854-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINKAUF",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00861000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.